Hettie Jans Wortelboer, MS, LCPC | |
109 E Lewis St, Livingston, MT 59047-3112 | |
(406) 223-0206 | |
(406) 222-1444 |
Full Name | Hettie Jans Wortelboer |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 109 E Lewis St, Livingston, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417019027 | NPI | - | NPPES |
0256841 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCPC 1112 (Montana) | Primary |
Entity Name | Hettie Jans Wortelboer Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891561759 PECOS PAC ID: 6406293448 Enrollment ID: O20240326001709 |
Mailing Address | Practice Location Address |
---|---|
Hettie Jans Wortelboer, MS, LCPC Po Box 2137, Livingston, MT 59047-4708 Ph: (406) 223-0206 | Hettie Jans Wortelboer, MS, LCPC 109 E Lewis St, Livingston, MT 59047-3112 Ph: (406) 223-0206 |
David B. Powell, LCSW, LAC Counselor Medicare: Medicare Enrolled Practice Location: 320 Alpenglow Ln, Livingston, MT 59047 Phone: 406-222-3541 Fax: 406-823-6434 | |
Tavin Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 Us Highway 10 W Ste A2, Livingston, MT 59047 Phone: 406-579-9390 | |
Mrs. Michelle Frierson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 E Park St, Livingston, MT 59047 Phone: 406-222-2812 | |
Carol C. Sims, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 S Main St, Livingston, MT 59047 Phone: 406-222-3332 Fax: 406-222-5851 | |
Jana Lehman, LCPC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 W Callender St, Livingston, MT 59047 Phone: 406-600-1872 | |
Jacqueline K Isaly, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 E Park, Livingston, MT 59047 Phone: 406-222-2812 | |
Haley Nelson, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 S Main St # 208, Livingston, MT 59047 Phone: 406-220-2290 |